Physician's perception leading to the transfer of a dying nursing home resident to an emergency department: A French qualitative study

2019 ◽  
Vol 19 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Valentin Kouyoumdjian ◽  
Elise Perceau-Chambard ◽  
Corinne Sisoix ◽  
Marilène Filbet ◽  
Colombe Tricou
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Qualitative Study ◽  
Nursing Home Resident

scholarly journals Factors predisposing nursing home resident to inappropriate transfer to emergency department. The FINE study protocol

2017 ◽  
Vol 7 ◽  
pp. 217-223 ◽  
Author(s):  
Amélie Perrin ◽  
Neda Tavassoli ◽  
Céline Mathieu ◽  
Sophie Hermabessière ◽  
Mathieu Houles ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Study Protocol ◽  
Nursing Home Resident

scholarly journals Paramedics's perspectives on hospital transfers of nursing home residents - a qualitative focus group study

2019 ◽  
Author(s):  
Alexandra Pulst ◽  
Alexander Maximilian Fassmer ◽  
Falk Hoffmann ◽  
Guido Schmiemann
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Health Status ◽  
Qualitative Study ◽  
Focus Groups ◽  
Emergency Medical Services ◽  
Nursing Staff ◽  
Transfer Process ◽  
Nursing Home Residents ◽  
Point Of View

Abstract Background: Emergency department (ED) visits and hospital admissions are common among nursing home residents (NHRs). These transfers are often considered avoidable and can have negative effects on residents’ health status. Emergency medical services (EMS) are an important linking profession between nursing homes (NHs) and hospitals and responsible for transports. So far, little is known about the perspectives of paramedics in this context. The aim of this qualitative study is to explore how paramedics experience hospital transfer process of NHRs and how hospitalizations could be avoided from their point of view. Methods: A qualitative study with three focus groups was conducted with paramedics. The focus groups followed a semi-structured question guide focusing on issues during transfer process, avoidable hospital transfers and potential interventions which might reduce transfers from NHs. Discussions were audio recorded and transcribed verbatim. Data were analyzed by content analysis using the software MAXQDA. Results: In total, 18 paramedics (mean age: 33 years, male n=14) participated in the focus groups. Paramedics mainly reported about perceived structural reasons (e.g. understaffing or lack of time) in NHs which led to initiation of an emergency call. Paramedics were often faced with poorly organized handovers because of lacking or incomplete information. In many cases, nursing staff was perceived as insufficiently qualified and not well-prepared regarding health status of NHRs. Throughout transfer process, the behavior of all involved professional groups (dispatcher/ambulance control center, nurses, physicians and paramedics) was influenced by legal uncertainties. Paramedics rated hospital transfers as avoidable in case of urinary catheter complications, exsiccosis/infections and partially in case of falls. Emergency standards in NHs, trainings for nursing staff, improvement of working conditions and legal conditions were discussed as potential interventions which could reduce hospital transfers of NHRs. Conclusion: Paramedics are faced with complex issues when transporting a NHR to hospital. According to their point of view staff shortage and legal uncertainties play a relevant role in transfer decisions. Interventions reducing (avoidable) hospital transfers of NHRs have to take these factors into account. Keywords: nursing home residents, hospitalization, hospital admission, patient transfer, referral, transition, emergency department, emergency medical services, decision making, advance care planning

scholarly journals Intra-Articular Dislocation of the Patella

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Gavin McHugh ◽  
Ed Ryan ◽  
May Cleary ◽  
Paddy Kenny ◽  
Shea O'Flanagan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Nursing Home Resident ◽  
Closed Reduction ◽  
Open Reduction ◽  
Unusual Case ◽  
Intercondylar Notch ◽  
Elderly Nursing Home Resident ◽  
Superior Pole ◽  
Dislocation Of The Patella

We present an unusual case of a chronic, irreducible intra-articular dislocation of the patella in an elderly nursing home resident. The patient had been unable to weight bear for 3 weeks. Radiographs in the emergency department (ED) confirmed the intra-articular dislocation with the superior pole lodged in the intercondylar notch. She underwent two failed closed reduction attempts and subsequently required an open reduction under general anaesthesia.

Nursing Home Resident Admission Characteristics and Potentially Preventable Emergency Department Transfers

2021 ◽  
Author(s):  
Komal Aryal ◽  
Fabrice Mowbray ◽  
Andrea Gruneir ◽  
Lauren E. Griffith ◽  
Michelle Howard ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Nursing Home Resident

scholarly journals Certified Nursing Assistants' Explanatory Models of Nursing Home Resident Depression

2008 ◽  
Vol 30 (6) ◽  
pp. 653-672 ◽  
Author(s):  
Mary Lynn Piven ◽  
Ruth A. Anderson ◽  
Cathleen S. Colón-Emeric ◽  
Margarete Sandelowski
Keyword(s):  
Nursing Home ◽  
Nursing Home Resident ◽  
Explanatory Models ◽  
Nursing Assistants ◽  
Certified Nursing Assistants

Nursing Home Resident, Family, and Staff Perspectives on Hospital Transfers for End-of-Life Care

2021 ◽  
pp. 003022282199770
Author(s):  
Janet Sopcheck ◽  
Ruth M. Tappen
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Terminally Ill ◽  
South Florida ◽  
Care Planning ◽  
Life Care ◽  
Advance Care

Residents who are terminally ill often experience transfers to the emergency department resulting in hospitalizations, which may be potentially avoidable with treatment in the nursing home. This qualitative study explored the perspectives of 15 residents, 10 family members, and 20 nursing home staff regarding end-of-life care and the circumstances prompting resident transfers. Data analysis of participant interviews conducted January to May 2019 in a South Florida nursing home identified four themes related to transfer to the hospital: time left to live, when aggressive treatments would be unavailing, not knowing what the nursing home can do, and transfer decisions are situation-dependent. Study findings underscore the importance of increasing resident and family awareness of treatments available in the nursing home and person-centered advance care planning discussions. Further research should explore the reasons for residents’ and family members’ choice of aggressive therapies and their goals for care at the end of life.

scholarly journals Correction to: What matters to you when the nursing home is your home: a qualitative study on the views of residents with dementia living in nursing homes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agnete Nygaard ◽  
Liv Halvorsrud ◽  
Ellen Karine Grov ◽  
Astrid Bergland
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Qualitative Study ◽  
What Matters

An amendment to this paper has been published and can be accessed via the original article.

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